Evaluation for Occupational Therapy, Typically 45 Minutes Cost in Iowa
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 64 Iowa hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $199
📉 Low $96.48
📈 High $407
🏥 64 hospitals
🏛️ 49 with insurance contracts
🇺🇸 Medicare $96.19
Hospital comparison — Iowa
Sorted by cash price (lowest first). Showing top 60 of 64 hospitals.
Billed more than $199 for this? That gap is evidence.
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| Hospital | Cash | UHC | Aetna | Humana | BCBS | Molina | Cigna | MultiPlan | Centene |
|---|---|---|---|---|---|---|---|---|---|
| CHI HEALTH MERCY CORNING CORNING |
$96.48 | $82.13 | — | $82.13 | $82.13 | $85.42 | — | $187 | $83.78 |
| CHI HEALTH MISSOURI VALLEY MISSOURI VALLEY |
$98.49 | $66.85 | — | $66.85 | $172 | $85.42 | — | $187 | $68.19 |
| CHI HEALTH MERCY COUNCIL BLUFFS COUNCIL BLUFFS |
$101 | $111 | — | — | — | $74.01 | — | $171 | $36.15 |
| HUMBOLDT COUNTY MEMORIAL HOSPITAL HUMBOLDT |
$110 | $96.00 | $71.00 | $77.84 | $77.84 | $77.84 | $75.00 | $75.00 | — |
| DALLAS COUNTY HOSPITAL PERRY |
$112 | $79.58 | $77.99 | $77.99 | — | $88.23 | — | — | — |
| STORY COUNTY HOSPITAL NORTH NEVADA |
$122 | $61.00 | $61.00 | $61.00 | $61.00 | $74.00 | — | — | — |
| HAWARDEN REGIONAL HEALTHCARE HARWARDEN |
$128 | $75.70 | — | — | $75.71 | — | — | — | — |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL RED OAK |
$132 | — | — | — | — | — | — | — | — |
| UNITYPOINT HEALTH JONES REGIONAL MEDICAL CENTER ANAMOSA |
$149 | $76.18 | $74.32 | $76.18 | $73.92 | — | $153 | — | — |
| LORING HOSPITAL SAC CITY |
$154 | $77.00 | $77.00 | $77.00 | — | $89.00 | $96.00 | — | — |
| MERCYONE NORTH IOWA MASON CITY |
$163 | — | — | — | — | — | — | — | — |
| MERCYONE DUBUQUE DUBUQUE |
$165 | — | — | — | — | — | — | — | — |
| BURGESS HEALTH CENTER ONAWA |
$174 | $51.00 | $51.00 | $51.00 | $51.00 | — | — | — | — |
| CHEROKEE REGIONAL MEDICAL CENTER CHEROKEE |
$178 | $53.00 | $53.00 | $53.00 | $53.00 | $55.00 | $100 | — | — |
| OTTUMWA REGIONAL HEALTH CENTER PENNSYLVANIA AVE OTTUMWA |
$187 | $95.59 | $98.46 | $100 | $219 | $75.43 | — | — | $201 |
| UNITYPOINT HEALTH MARSHALLTOWN MARSHALLTOWN |
$191 | $87.28 | $95.59 | $100 | $88.78 | $97.50 | $156 | — | — |
| UNITYPOINT HEALTH ALLEN HOSPITAL WATERLOO |
$191 | $87.28 | $95.59 | $100 | $97.50 | $97.50 | $156 | — | — |
| UNITYPOINT HEALTH TRINITY BETTENDORF |
$191 | $87.28 | $95.59 | $100 | $97.50 | — | $153 | — | $95.59 |
| UNITYPOINT HEALTH TRINITY REGIONAL MEDICAL CENTER FORT DODGE |
$191 | $87.28 | $95.59 | $100 | $97.50 | — | $156 | — | — |
| UNITYPOINT HEALTH TRINITY MUSCATINE MUSCATINE |
$191 | $87.28 | $95.59 | $100 | $66.68 | — | $156 | — | $95.59 |
| UNITYPOINT HEALTH GRINNELL REGIONAL MEDICAL CENTER GRINNELL |
$191 | $87.28 | $95.59 | $100 | $97.50 | $97.50 | $156 | — | — |
| UNITYPOINT HEALTH ST. LUKE'S HOSPITAL CEDAR RAPIDS |
$191 | $87.28 | $95.59 | $100 | $97.50 | $97.50 | $150 | — | — |
| UNITYPOINT HEALTH IOWA LUTHERAN HOSPITAL DES MOINES |
$191 | $87.28 | $95.59 | $100 | $97.50 | $97.50 | $156 | — | — |
| UNITYPOINT HEALTHCARE FINLEY HOSPITAL DUBUQUE |
$191 | $87.28 | $94.00 | $100 | $97.50 | $97.50 | $155 | — | — |
| UNITYPOINT HEALTH BLANK CHILDREN'S HOSPITAL DES MOINES |
$191 | $87.28 | $95.59 | $100 | $97.50 | $97.50 | $156 | — | — |
| UNITYPOINT HEALTH ST. LUKE'S SIOUX CITY |
$191 | $87.28 | $95.59 | $100 | $97.50 | $97.50 | $156 | — | — |
| POCAHONTAS COMMUNITY HOSPITAL POCAHONTAS |
$195 | $96.00 | $60.00 | $95.00 | $64.00 | $50.00 | $97.00 | — | — |
| GREATER REGIONAL HEALTH W TOWNLINE ST CRESTON |
$195 | $59.00 | $63.00 | $64.00 | $64.00 | $59.00 | $89.00 | — | — |
| OSCEOLA REGIONAL HEALTH CENTER SIBLEY |
$196 | $85.30 | — | — | $10.00 | — | — | — | — |
| MERCYONE CLINTON CLINTON |
$197 | — | — | — | — | — | — | — | — |
| SIOUX CENTER HEALTH AVERA SIOUX CENTER |
$199 | $85.30 | — | — | — | — | — | — | — |
| MERCYONE ELKADER MEDICAL CENTER ELKADER |
$199 | — | — | — | — | — | — | — | — |
| MERCYONE NEWTON MEDICAL CENTER NEWTON |
$199 | — | — | — | — | — | — | — | — |
| MERCYONE OELWEIN MEDICAL CENTER OELWEIN |
$199 | — | — | — | — | — | — | — | — |
| MERCYONE DYERSVILLE MEDICAL CENTER DYERSVILLE |
$199 | — | — | — | — | — | — | — | — |
| MERCYONE NEW HAMPTON NEW HAMPTON |
$199 | — | — | — | — | — | — | — | — |
| LUCAS COUNTY HEALTH CENTER CHARITON |
$201 | $123 | $123 | $123 | — | $156 | — | — | — |
| GUTTENBERG MUNICIPAL HOSPITAL GUTTENBERG |
$202 | $52.00 | $52.00 | $52.52 | — | $52.52 | — | — | — |
| SPENCER HOSPITAL SPENCER |
$213 | — | — | — | — | — | — | — | — |
| COMMUNITY MEMORIAL HOSPITAL SUMNER |
$220 | $58.80 | $63.00 | $63.00 | $49.00 | $61.00 | — | — | — |
| GRUNDY COUNTY MEMORIAL HOSPITAL GRUNDY CENTER |
$223 | $49.00 | $49.00 | $49.00 | $49.00 | $56.00 | $95.00 | — | — |
| REGIONAL MEDICAL CENTER MANCHESTER |
$225 | $37.70 | $34.34 | — | — | — | $88.03 | $95.00 | — |
| FLOYD VALLEY HOSPITAL LE MARS |
$225 | $85.30 | — | — | — | — | — | — | — |
| MERCYONE CEDAR FALLS MEDICAL CENTER CEDAR FALLS |
$229 | — | — | — | — | — | — | — | — |
| MERCYONE WATERLOO MEDICAL CENTER WATERLOO |
$229 | — | — | — | — | — | — | — | — |
| BROADLAWNS MEDICAL CENTER DES MOINES |
$238 | $101 | $238 | — | — | — | $190 | — | — |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY CRESCO |
$240 | $73.00 | — | — | — | — | — | — | — |
| STEWART MEMORIAL COMMUNITY HOSPITAL LAKE CITY |
$244 | $52.00 | $50.00 | $52.00 | — | $52.00 | $66.00 | $50.00 | — |
| LAKES REGIONAL HEALTHCARE SPIRIT LAKE |
$252 | $76.20 | — | — | $143 | — | — | — | — |
| RINGGOLD COUNTY HOSPITAL MT AYR |
$252 | — | $57.00 | $57.00 | — | — | — | — | — |
| HEGG HEALTH CENTER ROCK VALLEY |
$258 | $85.30 | — | — | — | — | — | — | — |
| MERCYONE DES MOINES MEDICAL CENTER DES MOINES |
$265 | — | — | — | — | — | — | — | — |
| GREENE COUNTY MEDICAL CENTER JEFFERSON |
$270 | $52.00 | $52.00 | $52.00 | — | $51.00 | — | — | $52.00 |
| PELLA REGIONAL HEALTH CENTER PELLA |
$278 | $167 | $67.00 | $75.00 | $106 | $97.30 | — | $195 | — |
| JACKSON COUNTY REGIONAL HEALTH CENTER MAQUOKETA |
$283 | $156 | $237 | $144 | $153 | — | — | — | — |
| BUENA VISTA REGIONAL MEDICAL CENTER TH ST STORM LAKE |
$283 | $53.00 | $53.00 | $53.00 | $53.00 | — | $90.00 | — | $53.00 |
| BUCHANAN COUNTY HEALTH CENTER INDEPENDENCE |
$289 | $36.00 | $36.00 | $36.00 | $36.00 | $35.00 | $83.00 | — | — |
| CLARKE COUNTY PUBLIC HOSPITAL OSCEOLA |
$301 | $44.22 | $44.22 | $44.22 | $44.22 | $38.94 | $64.68 | — | — |
| MERCYONE CENTERVILLE MEDICAL CENTER CENTERVILLE |
$306 | — | — | — | — | — | — | — | — |
| SANFORD SHELDON MEDICAL CENTER SHELDON |
$316 | $122 | $122 | — | $122 | — | — | $356 | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 97166, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $243 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $199 for this?
That is the median of what the 64 Iowa hospitals above publish for Evaluation for occupational therapy, typically 45 minutes — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 97166 in Iowa, Medicare reimburses about $96.19 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Iowa range from $96.48 to $407 — that means hospital cash prices are typically 2.1x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does evaluation for occupational therapy, typically 45 minutes cost in Iowa?
- Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in Iowa range from $96.48 to $407, with a median of $199. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in Iowa?
- The cheapest Iowa hospital published cash price for this procedure is $96.48. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Evaluation for occupational therapy, typically 45 minutes in nearby states
Other procedures in Iowa
Methodology. Cash prices and insurance-negotiated rates published by each Iowa facility under federal price transparency rules (45 CFR § 180). CPT code 97166 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.